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Division of Nursing and Health Management - Essay Example

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It is important to carefully assess the condition of the patient. Mr. M. has upper airway infection which occurred acutely. The symptoms have lasted for five days. These conditions would seldom require hospitalization. This kind of presentation is common in a community level nurse practitioner practice. …
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Division of Nursing and Health Management
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Division of Nursing and Health Management

The patient is suffering from an associated nonallergic rhinitis where infection and underlying sinusitis are important causes. The rhinitis may also be associated with his use of antihypertensive agents as prescribed medications. Sinusitis or inflammation of the mucus-lined cavities of the nose occurs in high proportion of cases of upper respiratory infections. The congested turbinates have most probably blocked the openings of the sinuses, so the initial infection has changed into an acute suppurative process causing purulent discharge. Chronic inflammation of the nasal passages due to environmental exposure is an important cause, and in the management and patient education, this must be adequately attended to. The other issue to be included in the management is counteraction of the pathophysiologic process. Running et al. (2006) indicated that acute sinusitis occurs with infection of the paranasal sinuses. It is known that the most frequent initiating event is upper respiratory infection. Inflammatory nasal congestion, edema, and transudation of fluid would lead to obstruction of the sinus cavities. These serve as excellent media for bacterial growth, and several common bacteria have been identified to cause such infections. The important issue in care management would be teaching patient self-care. ...
Thus tonsillar inflammation and pharyngeal inflammation are normal to encounter (Rosenfeld et al., 2007). The tonsillar involvement is limited to inflammation, and the absence of exudates indicates absence of infection.
The patient is suffering from an associated nonallergic rhinitis where infection and underlying sinusitis are important causes. The rhinitis may also be associated with his use of antihypertensive agents as prescribed medications. Sinusitis or inflammation of the mucus lined cavities of the nose occurs in high proportion of cases of upper respiratory infections. The congested turbinates have most probably blocked the openings of the sinuses, so the initial infection has changed into an acute suppurative process causing purulent discharge. Chronic inflammation of the nasal passages due to environmental exposure is an important cause, and in the management and patient education, this must be adequately attended to. The other issue to be included in the management is counteraction of the pathophysiologic process. Running et al. (2006) indicated that acute sinusitis occurs with infection of the paranasal sinuses. It is known that the most frequent initiating event is upper respiratory infection. Inflammatory nasal congestion, edema, and transudation of fluid would lead to obstruction of the sinus cavities. These serve as excellent media for bacterial growth, and several common bacteria have been identified to cause such infections. The important issue in care management would be teaching patient self care. The instructions would involve methods which may promote drainage of the sinuses with the use of steam bath, increasing intake of fluid, and applying hot wet packs over the areas of involved sinuses. The patient uses over ... Read More
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